Individual provider · Type 1 NPI
Krystin Jherel Fullwood
Mental Health Counselor · Summerfield, NC
NPI number
1629505599
Active
Practice location
6633 Alley Rd
Summerfield, NC 27358-9203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | A19108 (NC) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Summerfield
About NPI 1629505599
Krystin Jherel Fullwood's National Provider Identifier is 1629505599, issued on May 22, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Summerfield, NC. The record was last updated on Sep 20, 2023.